Preoperative exercise program utilizing behavior change in patients with esophageal cancer

本研究的目的是探讨食管癌患者行食管切除术后，通过强化术前康复利用行为改变预防术后肺部并发症的可能性。研究对象包括100例食管切除术患者（男性87例，女性13例，平均年龄66.5±8.6岁）。随机分为两组：术前康复（PR）组63例（男53例，女10例，平均年龄67.4±9.0岁）；非PR （NPR）组37例（男34例，女3例，平均年龄65.0±7.8岁）。PR组术前接受充分的呼吸康复治疗bb70 d， NPR组术前未接受充分的呼吸康复治疗或完全不接受呼吸康复治疗。logistic回归分析和多因素分析的结果显示，PR组和NPR组的PPCs发生率分别为6.4%和24.3%。PR组PPCs的发生率明显低于NPR组（优势比：0.14）。本研究表明，术前强化呼吸康复可降低食管癌切除术患者的PPCs。

The purpose of this study was to investigate the possible prevention of postoperative pulmonary complications (PPCs) by intensive preoperative rehabilitation utilizing behavior change in esophageal cancer patients who underwent esophagectomy. The subjects included 100 patients (87 males and 13 females with mean age 66.5 ± 8.6 years) who underwent esophagectomy. They were divided into two groups: 63 patients (53 males and 10 females with mean age 67.4 ± 9.0 years) in the preoperative rehabilitation (PR) group and 37 patients (34 males and 3 females with mean age 65.0 ± 7.8 years) in the non-PR (NPR) group. The PR group received sufficient preoperative respiratory rehabilitation for >7 days, and the NPR group insufficiently received preoperative respiratory rehabilitation or none at all. The results of the logistic regression analysis and multivariate analysis to correct for all considerable confounding factors revealed the rates of PPCs of 6.4% and 24.3% in the PR group and NPR group, respectively. The PR group demonstrated a significantly less incidence rate of PPCs than the NPR group (odds ratio: 0.14). This study showed that the intensive preoperative respiratory rehabilitation reduced PPCs in esophageal cancer patients who underwent esophagectomy.